Patient perception, actual control and KAP of their diabetic management: A comparison between patients seen at Primary Care Clinic and Tertiary Hospital
Objectives: To compare patients’ perception of their diabetic control, their knowledge, attitude and practice (KAP) of their diabetic management, HbA1C and other metabolic parameters in patients seen at a primary care centre (PCC) and tertiary hospital (TH). Methods: This was a cross sectional s...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Malaysian Endocrine & Metabolic Society
2014
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/48109/ http://irep.iium.edu.my/48109/ http://irep.iium.edu.my/48109/7/PP-021.pdf |
| Summary: | Objectives: To compare patients’ perception of their diabetic control,
their knowledge, attitude and practice (KAP) of their diabetic management,
HbA1C and other metabolic parameters in patients seen at a primary care
centre (PCC) and tertiary hospital (TH).
Methods: This was a cross sectional study involving age and sex-matched
146 patients from our PCC and 145 patients from our TH. They were
interviewed using a standardized KAP questionnaire and perception on
their diabetic control was documented. Anthropometric measurements
were made and their most recent blood investigations were recorded.
Analysis was done using SPSS 19.
Results: The median age of respondents from PCC and
THwere57.0(51.0,64.7) and 57.0(51.0,62.0) years respectively. Patient
seen at the TH had significantly longer duration of diabetes than those
seen at PCC [8.0(4.0-14.0) vs. 5.0(3.0-10.0) years]. Patients from TH has
significantly more complications; amputation from diabetic foot ulcers
(9.7% vs. 0.7%); chronic kidney disease (11.0% vs 0.7%); stroke (9.0%
vs. 4.1%); and ischaemic heart disease (17.9% vs. 8.2%).Twenty seven
percent of patient in PCC and 29% of patients in TH thought that their
diabetes were well controlled. However, only 19.9% of patients in PCC and
13.9% of patients in TH had HbA1c less than 6.5%. The mean HbA1C
of patients seen in PCC was significantly lower than those seen at TH
(8.4 ± 2.3% vs. 9.3 ± 2.6%; p = 0.001). Patients seen in TH are more
hypertensive (median BP= 148/74 mmHg) than patients in PCC (median
= 130/70 mmHg), but had lower LDL-cholesterol level [1.7(0.9,2.8)mmol/L
vs. 2.2(1.8, 3.1) mmol/L).There was no significant difference of KAP score
between patients in PCC and HT.
Conclusion: Almost a third of respondents in both groups (27% and 29%)
thought that their diabetes is well controlled. However, only 20% of patient
in PCC and 14% of patients in TH had HbA1C of less than 6.5%. KAP score
did not differ between PCC and TH group. |
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